26D0671502 CLIA NUMBER - MARYMOUNT MANOR

Laboratory Demographics

  • CLIA Code: 26D0671502
  • Facility Name: MARYMOUNT MANOR
  • Facility Address: 313 AUGUSTINE ROAD
    EUREKA, MO
    ZIP 63025
  • Facility Phone: 636 938-6770
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITTANY HERRIN
  • NPI Number: 1598828774
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0671502
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARYMOUNT MANOR
Street 313 AUGUSTINE ROAD
City EUREKA
State MO
ZIP 63025
Phone 636 938-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRITTANY HERRIN

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This page was last updated on: 9/29/2025